If a student has a health concern and requires medication during the school day on a long term basis, a Medication Administration Request form must be completed by the prescribing physician.  

Medication Administration Request

Students requiring procedures/treatments during the school day will be required to submit the Physician/Parent Request for Administration of Procedures/Treatment form.

Physician/Parent Request for Administration of Procedures/Treatment

These forms must be completed annually and whenever there is a change of medication, dose, procedure, and/or treatment.

The school nurse will contact the physician as necessary for information regarding student health concerns, medication, and procedures or treatments. Health concerns and related information will then be shared on an as needed basis with appropriate school staff to provide appropriate care for your student.